{% extends "agm1.0/base.html" %}
{%- block body %}
        <section id="mapsetting" data-role="page" data-add-back-btn="true">
            <header data-role="header" data-position="fixed">
                <h3>地图标志申请</h3>
            </header>
            <div data-role="content">
                <form>
                    纬度:<input name="lat" value="{{request.args.get('lat') or 0}}" class="ui-disabled">
                    经度:<input name="lng" value="{{request.args.get('lng') or 0}}" class="ui-disabled">
                    <hr>
                    <input name="title" placeholder="销售点名称">
                    <input name="address" placeholder="销售点地址">
                    <input name="phone" placeholder="销售点电话">
                    <label for="file">图片上传:</label>
                    <input type="file" name="file" id="file" value="" accept="image/*">
                    <div class="imgpre">
                        <img>
                    </div>
                    <a href="#" id="mapapplypost" data-role="button">提交</a>
                </form>
            </div>        
            <footer data-role="footer" data-position="fixed"><h3><small>©2020 {{_t('AGM 英宝玩具', 'Top-Racer')}}</small></h3></footer>
        </section>           
    {% endblock %}